<?php include "header.php" ?>

<div id="content">
<h1>User Survey</h1>
  <form name="form1" method="post" action="survey_save.php">
  <p class="embiggen">Please give as much detail as possible. </p>
  <table id="survey">
    <tbody>
      <tr>
        <th>Full Name </th>
        <td><input name="Name" id="Name" value="" size="30" type="text"></td>
      </tr>
      <tr>
        <th>Occupation/Affiliation</th>
        <td>
          <table>
            <tbody>
              <tr>
                <td><input name="DataUse" value="college student" type="radio"> College Student</td>
                <td><input name="DataUse" value="researcher" type="radio">      Researcher</td>
                <td><input name="DataUse" value="fed government" type="radio">  Federal Gov't </td>
              </tr>
              <tr>
                <td><input name="DataUse" value="educator" type="radio">        Educator</td>
                <td><input name="DataUse" value="k-12 student" type="radio">    K-12 Student</td>
                <td><input name="DataUse" value="general public" type="radio">  General Public</td>
              </tr>
              <tr>
                <td><input name="DataUse" value="graduate student" type="radio">Graduate Student </td>
                <td><input name="DataUse" value="non profit org" type="radio">  Non Profit Org. </td>
                <td><input name="DataUse" value="private sector" type="radio">  Private Sector </td>
              </tr>
              <tr>
                <td><input name="DataUse" value="state government" type="radio">State Gov't </td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
              </tr>
            </tbody>
          </table>
        </td>
      </tr>
      <tr>
        <th>Organization</th>
        <td><input name="Organization" id="Organization" value="" size="30" type="text"></td>
      </tr>
      <tr>
        <th>Email </th>
        <td><input name="Email" id="Email" value="" size="30" type="text"></td>
      </tr>
      <tr>
        <th>Purpose of inquiry </th>
        <td>
          <table>
            <tbody>
              <tr>
                <td><input name="Purpose" value="consulting" type="radio">    Consulting</td>
                <td><input name="Purpose" value="research" type="radio">      Research</td>
                <td><input name="Purpose" value="data synthesis" type="radio">Data Synthesis</td>
              </tr>
              <tr>
                <td><input name="Purpose" value="education" type="radio">     Education</td>
                <td><input name="Purpose" value="project" type="radio">       Project</td>
                <td><input name="Purpose" value="curriculum dev" type="radio">Curriculum Devel</td>
              </tr>
              <tr>
                <td><input name="Purpose" value="other" type="radio">         Other</td>
                <td>&nbsp;</td>
                <td>&nbsp;</td>
              </tr>
            </tbody>
          </table>              
        </td>
      </tr>      
      <tr>
        <th>Ratings <br/><span style="font-weight:normal">On a scale of 1(strongly disagree) to 5(strongly agree), NA is Not Applicable, please rate the following:</span></th>
        <td>
          <ul>
            <li> 
              <label for="EaseOfUseCombo">Website Ease of Use:</label>
              <select name="EaseOfUseCombo" id="EaseOfUseCombo">
                <option>NA</option>
                <option>1</option>
                <option>2</option>
                <option>3</option>
                <option>4</option>
                <option>5</option>
              </select>
            </li>
            <li> 
              <label for="DataUsefullnessCombo">The information found on this website was useful:</label>
              <select name="DataUsefullnessCombo" id="DataUsefullnessCombo">
                <option>NA</option>
                <option>1</option>
                <option>2</option>
                <option>3</option>
                <option>4</option>
                <option>5</option>
              </select>
            </li>
            <li> 
              <label for="RecommendCombo">I would recommend this website to others:</label>
              <select name="RecommendCombo" id="RecommendCombo">
                <option>NA</option>
                <option>1</option>
                <option>2</option>
                <option>3</option>
                <option>4</option>
                <option>5</option>
              </select>
            </li>

          </ul>
        </td>
      </tr>
      <tr>
        <th>Comments <br /><span style="font-weight:normal">Please leave any comments/requests/suggestions for improvements to the website.</span></th>
        <td colspan="2"><textarea name="Comments" id="Comments" rows="8" cols="60"></textarea></td>
      </tr>
    </tbody>
  </table>
  <div align="center">
    <br/>	<input name="Submit" value="Submit" type="submit">
  </div>

</form>
</div>
<?php include "footer.html" ?>

